Death Certificate of James W Griggs

James W. Griggs, 72, died on 26 Dec 1916 in Chuckatuck, Nansemond from
broncho-pneumonia. He was married and was buried on 28 Dec 1916 at
Nansemond Co.

Mr. Griggs was born in Nansemond County in September 1854 to Benj.
Griggs and Rosamond Ellis, both also from Nansemond. He worked as a
farmer and was a resident of Suffolk, Virginia at the time of his death.

|----------------------------------|------------------------------|
| Field                            | Value                        |
|----------------------------------|------------------------------|
| 1. County                        | Nansemond                    |
| 1. District or Inc. Town or City | Chuckatuck                   |
| 2. FULL NAME                     | James W. Griggs              |
| 3. SEX                           | Male                         |
| 4. COLOR OR RACE                 | White                        |
| 4. Marital Status                | Married                      |
| 5. DATE OF BIRTH                 | Sept 1854                    |
| 7. AGE                           | 72 yrs 3 mos 0 ds            |
| 8.a) Occupation                  | Farmer                       |
| 9. BIRTHPLACE                    | Nansemond Co.                |
| 10. NAME OF FATHER               | Benj. Griggs                 |
| 11. BIRTHPLACE OF FATHER         | Nansemond Co.                |
| 12. MAIDEN NAME OF MOTHER        | Rosamond Ellis               |
| 13. BIRTHPLACE OF MOTHER         | Nansemond Co.                |
| 14. Informant                    | J. W. Griggs                 |
| 14. Address                      | Suffolk, Va                  |
| 15. Filed                        | Dec 29, 1916                 |
| 15. LOCAL REGISTRAR              | Jos. C. Bland                |
| 16. DATE OF DEATH                | Dec 26, 1916                 |
| 17. Dates Attended               | Nov 15, 1916 to Dec 26, 1916 |
| 17. Last seen alive              | Dec 13, 1916                 |
| 17. Time of death                | 2 P.M.                       |
| 17. Cause of Death               | Broncho-pneumonia            |
| 17. Duration                     | 1 1/2 mos.                   |
| 17. Contributory                 | (blank)                      |
| 17. Contributory Duration        | (blank)                      |
| 17. Signed                       | W. F. Riddick, M.D.          |
| 17. Date Signed                  | Dec 27, 1916                 |
| 17. Address                      | Chuckatuck, Va.              |
| |18. Length of residence          | (blank)                      |                     |
| |18. Length of residence          | (blank)                      |                     |
| 19. PLACE OF BURIAL OR REMOVAL   | Nansemond Co.                |
| 19. DATE OF BURIAL               | Dec 28, 1916                 |
| 19. UNDERTAKER                   | W. J. Riddick                |
| 19. Address                      | Suffolk, Va.                 |
| File No.—For State Registrar Only | 30272                       |
| Registered No.                   | 16                           |
|----------------------------------|------------------------------|

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